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Informed consent to elective surgery: the 'therapeutic' value?

Social Science & Medicine (1982)

|January 1, 1986

Summary

Most adult patients want detailed information about elective surgery, finding it beneficial for recovery despite potential distress from complication details. Increased patient involvement in medical discussions can improve understanding and shared responsibility.

Keywords:

Empirical Approach Professional Patient Relationship

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Area of Science:

Medical Ethics
Patient Psychology
Surgical Care

Background:

Surgery is a significant source of anxiety for patients.
Informed consent requires explaining surgical reasons and effects, balancing patient autonomy with non-maleficence.
A conflict exists between providing comprehensive information and potentially causing patient distress.

Purpose of the Study:

To examine the benefits and harms of providing detailed information about elective surgery to patients.
To explore patient preferences regarding surgical information disclosure.
To investigate how information provision impacts patient recovery and understanding.

Main Methods:

Review of existing studies on surgical patients.
Qualitative data collection through interviews and observations.
Study samples included 131 and 80 women undergoing minor gynecological surgery.

Main Results:

Most adult patients desire detailed information about their surgical procedures.
While information on serious complications can be upsetting, accurate details about likely effects are generally welcomed and aid recovery.
A significant portion of information is often misunderstood or forgotten by patients.

Conclusions:

Detailed surgical information is generally preferred by patients and can positively influence recovery.
Addressing patient understanding and memory retention is crucial for effective informed consent.
Enhancing patient involvement in medical discussions can improve information processing and shared decision-making.